45, 48kg, 153cm, scar revision after hip replacement surgery? (Photos)

Question

I had hip replacement surgery 9 months ago that left me with a deeply indented scar that is even visible in clothing. I am only 45 years old and petite (weigh 48 kg, 153 cm tall). This scar makes me feel very self-conscious and I was was wondering what caused it to be so indented and if there is anything I can do to improve it either surgically or non surgically?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your concerns regarding the scar from your hip replacement surgery. Scars can sometimes be a source of distress, especially if they are highly visible or cause discomfort. Here are some insights and potential steps you can take to address the issue:

Causes of Indented Scars
Indented scars, also known as atrophic scars, can occur for several reasons:
- **Skin and Tissue Healing:** The way your skin and underlying tissues heal after surgery can result in indentations. This can be due to the loss of collagen, fat, or muscle during the healing process.
- **Surgical Technique:** Sometimes, the method used by the surgeon, such as the type of incision or the tension on the wound, can influence scar formation.
- **Infection or Complications:** If there were any complications such as infection during the healing process, it might have affected the scar appearance.
- **Individual Factors:** Your personal skin type, age, and body weight can also play a role in how scars form.

Non-Surgical Options
1. **Topical Treatments:** Various creams and gels (like those containing silicone, vitamin E, or onion extract) can help improve the appearance of scars over time.
2. **Massage Therapy:** Regularly massaging the scar tissue can sometimes improve its appearance by breaking down the dense collagen fibers.
3. **Laser Therapy:** Laser treatments can help reduce the visibility of scars by promoting collagen production and resurfacing the skin.
4. **Microneedling:** This minimally invasive procedure can help improve the texture and appearance of scars by stimulating collagen production.
5. **Steroid Injections:** In some cases, steroid injections can reduce scar tissue formation and improve the appearance of the scar.

Surgical Options
1. **Scar Revision Surgery:** This involves removing the old scar and re-closing the wound more carefully to reduce the appearance of the new scar. This can be particularly effective for indented scars.
2. **Fat Grafting:** This procedure involves taking fat from another part of your body and injecting it into the scar to fill in the indentation.
3. **Tissue Expansion:** This technique involves placing a balloon expander under the skin near the scar. Over time, the balloon is gradually filled with saline, causing the skin to stretch and grow. Once there is enough new skin, the scar can be surgically removed and the new skin used to cover the area.

Consultation with Specialists
- **Dermatologist:** A dermatologist can evaluate the scar and recommend appropriate non-surgical treatments.
- **Plastic Surgeon:** For surgical options, a consultation with a plastic surgeon can provide you with information about the potential benefits and risks of scar revision surgery or other procedures.

General Advice
- **Patience:** Scar healing and remodeling can take time, often up to a year or more. It’s important to be patient and allow your body to heal.
- **Sun Protection:** Protecting the scar from sun exposure is crucial, as UV rays can darken the scar, making it more noticeable.

Next Steps
1. **Document Your Concerns:** Write down specific concerns and questions you have about your scar and its treatment.
2. **Seek Professional Advice:** Schedule an appointment with a dermatologist or plastic surgeon to discuss your options and get a professional evaluation.
3. **Explore Treatments:** Consider trying non-surgical treatments first, as they are less invasive and can sometimes provide significant improvement.

It's important to address your concerns with a healthcare professional who can provide personalized advice based on your specific situation.

45, 48kg, 153cm, scar revision after hip replacement surgery? (Photos)

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45, 48kg, 153cm, scar revision after hip replacement surgery? (Photos)

Answers (2)

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